Aplicación de la biología molecular en alergia a alimentos
Aplicación de la biología molecular en alergia a alimentos
Aplicación de la biología molecular en alergia a alimentos
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polvo, insectos, caracoles y nemátodos 45,46 . Por otra parte, se<br />
conoce <strong>la</strong> exist<strong>en</strong>cia <strong>de</strong> RC <strong>en</strong>tre moluscos, crustáceos y<br />
<strong>de</strong>terminados insectos, causada por <strong>de</strong>terminantes carbohidratados<br />
que reaccionan <strong>de</strong> forma cruzada (CCD), si bi<strong>en</strong><br />
su trasc<strong>en</strong><strong>de</strong>ncia clínica es más que dudosa 47 .<br />
Otros síndromes <strong>de</strong> reactividad cruzada<br />
Aunque <strong>en</strong> este caso no se trate <strong>de</strong> RC <strong>en</strong>tre especies<br />
distantes, convi<strong>en</strong>e m<strong>en</strong>cionar otros síndromes <strong>en</strong>cuadrados<br />
<strong>de</strong>ntro <strong>de</strong> <strong>la</strong> RC <strong>en</strong>tre aeroalerg<strong>en</strong>os y alim<strong>en</strong>tos. En primer<br />
lugar, el síndrome ave-huevo, que <strong>de</strong>staca por su trasc<strong>en</strong><strong>de</strong>ncia<br />
clínica 48 . Se caracteriza por <strong>la</strong> asociación <strong>en</strong>tre reacciones<br />
alérgicas por ingestión <strong>de</strong> huevo y <strong>alergia</strong> respiratoria<br />
por inha<strong>la</strong>ción <strong>de</strong> antíg<strong>en</strong>os <strong>de</strong>rivados <strong>de</strong> aves, si<strong>en</strong>do<br />
más frecu<strong>en</strong>te <strong>en</strong> paci<strong>en</strong>tes adultos. Se ha i<strong>de</strong>ntificado a <strong>la</strong><br />
seroalbúmina <strong>de</strong> aves o α-livetina como <strong>la</strong> responsable <strong>de</strong><br />
esta RC 49 .<br />
Del mismo modo, se ha <strong>de</strong>scrito <strong>la</strong> asociación <strong>de</strong> <strong>alergia</strong><br />
respiratoria a animales con reacciones alérgicas por<br />
ingestión <strong>de</strong> carne. Un ejemplo es el síndrome gato-cerdo,<br />
<strong>en</strong> el que paci<strong>en</strong>tes con <strong>alergia</strong> respiratoria a gato pres<strong>en</strong>tan<br />
reacciones por ingestión <strong>de</strong> carne <strong>de</strong> cerdo 50 . En éste y <strong>en</strong><br />
otros casos <strong>de</strong> reacciones cruzadas por ingestión <strong>de</strong> carnes<br />
parece estar implicada <strong>la</strong> seroalbúmina animal.<br />
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